go back

Maine rates for HCPCS J7194

Factor Ix Complex Per I.U. (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $3.94 / $4.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.06 / $2.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $2.06 / $5.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $3.94 / $4.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.06 / $4.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.70 / $2.47